| NPI | 1154404051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85234) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX M1584) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-02-15 |